Individual provider Active NPI

Juan Carlos Rosa Madera

  • Clinical Social Worker
  • Comerio, PR
National Provider Identifier
1083521504
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17618 Issued in PR
Practice address
Carr 7774 KM 0.4 Bo Pinas Abajo Sector la Mora
Comerio, PR 00782
Phone
(787) 610-3319
NPI assigned
Aug 27, 2026
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 17618 PR Primary

Addresses

Primary practice location

Carr 7774 KM 0.4 Bo Pinas Abajo Sector la Mora
Comerio, PR 00782

Mailing address

HC-1 Box 40122
Comerio, PR 00782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17618PRMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1083521504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC-1 BOX 40122",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "00782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 7774 KM 0.4 BO PINAS ABAJO SECTOR LA MORA",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "00782",
            "telephone_number": "787-610-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA MADERA",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "17618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comerio, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.